OUR LADY OF THE LAKE REGIONAL MEDICA


Address: 7777 Hennessy Blvd, Plaza 1 Suite 406, Baton Rouge, LA 70810
Phone: 2257653456

OUR LADY OF THE LAKE REGIONAL MEDICA (NPI# 1972645216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972645216
Entity Type Organization
Organization Name OUR LADY OF THE LAKE REGIONAL MEDICA
Other Organization Name OUR LADY OF THE LAKE HOSPITAL INC PEDIATRIC PULMONARY CLINIC
Practice Address 7777 Hennessy Blvd
Plaza 1 Suite 406
Baton Rouge
LA 70810
Mailing Address 8415 Goodwood Blvd
Suite 105
Baton Rouge
LA 70806
Practice Telephone 2257653456
Practice Fax Number 2257651899
Mailing Telephone 2254134361
Mailing Fax Number 2257654062
Enumeration Date 2007-02-13
Last Update Date 2011-05-19
Authorized Official Name TAMARA WHITE (DIRECTOR OF BUSINESS SERVICES)
Authorized Official Telephone 2257654251
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0214X Pediatrics
Specialization: Pediatric Pulmonology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1445584 05

Other Provider/Organization Names

Other Name Type Code
Our Lady Of The Lake Hospital Inc Pediatric Pulmonary Clinic Doing Business As Name - Organization

Office Location

Street Address 7777 HENNESSY BLVD
PLAZA 1 SUITE 406
City BATON ROUGE
State LA
Zip Code 70810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336143841 Jeffrey Dean Hyde Internal Medicine 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA 70808-4300 2005-06-13
1487211397 Karrie G Mccoy Nurse Practitioner 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 2019-05-27
1912466160 Paige Cantrell Guillory Student in an Organized Health Care Education/Training Program 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 2019-03-18
1699267666 Osaretin Charles Aimuyo Pediatrics 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 2018-06-05
1962992883 John Ghassan Student in an Organized Health Care Education/Training Program 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 2018-05-16
1003312414 Jamie Nicole Scharfschwerdt Student in an Organized Health Care Education/Training Program 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 2018-04-04
1356859888 Kristen Pilcher Boudreaux Nurse Anesthetist, Certified Registered 7777 Hennessy Blvd, Ste 301, Baton Rouge, LA 70808 2018-01-18
1548784192 Erickia Lee Le Meunier Nurse Practitioner 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 2017-07-26
1215457023 Amy Miller Nurse Practitioner 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 2017-06-22
1053852806 Kathryn Tetreault Nurse Anesthetist, Certified Registered 7777 Hennessy Blvd, Suite 301, Baton Rouge, LA 70808-4300 2017-03-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639734973 Baton Rouge Clinic, A Medical Corporation Podiatrist 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 2019-05-02
1699278135 Taylor Denise Debourg Specialist/Technologist 8921 Boone Drive, Baton Rouge, LA 70810 2018-03-12
1528583945 Baton Rouge Perio, L.L.C. Dentist 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 2017-08-07
1902334931 Reginald Shaffer Counselor 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 2017-06-03
1770010381 Keona Julien Case Manager/Care Coordinator 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 2017-05-12
1205372893 Grand Canyon Mobile Dentistry Dentist 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 2017-01-06
1215395173 Kimberly Booker Counselor 9371 Bimini Dr, Baton Rouge, LA 70810 2016-02-08
1710354022 St Gabriel Health Clinic, Inc Clinic/Center 9211 Parkway Dr, Baton Rouge, LA 70810 2015-08-24
1942682430 Jasmine Alexander Counselor 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 2015-06-22
1073991535 James Michael Robinson Family Medicine 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 2015-05-15
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Taxonomy Information

Taxonomy Code 2080P0214X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Pulmonology

Taxonomy Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205836558 David E Thomas Pediatrics 2355 Drusilla Ln, Baton Rouge, LA 70809-1443 2005-07-28
1306164926 Andres Carrion- Vargas Pediatrics 7777 Hennessy Blvd, Suite 406, Baton Rouge, LA 70808-4300 2010-05-06
1235263724 Our Lady of The Lake Regional Medical Center Pediatrics 8415 Goodwood Blvd, Suite 105, Baton Rouge, LA 70806-7851 2007-03-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780633248 Michael Kiernan Pediatrics 4720 S. I-10 Service Rd. West, Ste 101, Metairie, LA 70001 2006-05-10
1871561241 Adrienne Prestirdge Savant Pediatrics 1430 Tulane Ave Dept Of, New Orleans, LA 70112-2632 2006-03-10
1477526598 Stephen D Levine Pediatrics 120 Innwood Dr, Covington, LA 70433-9123 2006-02-09
1508863002 Eduardo J Hernandez Pediatrics 1430 Lindberg Dr, Slidell, LA 70458-8056 2005-06-30
1376910240 Wk Pediatric Pulmonology Specialists Pediatrics 2530 Bert Koun Loop, Suite 114, Shreveport, LA 71118-3132 2015-08-27
1518354224 Sasikumar Kilaikode Cheruveettara Pediatrics 1501 Kings Hwy, Shreveport, LA 71103-4228 2015-04-20
1972873545 William W Waring Sr. Pediatrics 123 Walnut St, #905, New Orleans, LA 70118-4847 2012-01-12
1922186188 Kristin N. Van Hook Pediatrics 1514 Jefferson Hwy, New Orleans, LA 70121-2429 2006-11-02
1487730156 Fernando A Urrego Pediatrics 1514 Jefferson Hwy, New Orleans, LA 70121 2006-10-27
1902980154 Giovanni Piedimonte Pediatrics 200 Henry Clay Ave, New Orleans, LA 70118-5798 2006-10-24
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Competitor

Search similar providers

City BATON ROUGE
Zip Code 70810

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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